This formulation is a compounded transdermal gel containing Amitriptyline HCL 2%, Gabapentin 6%, Ketamine HCL 15%, Ketoprofen 5%, Lidocaine 3.5%, and Prilocaine HCL 3.5%. It is a semisolid formulation dispensed through a pump mechanism, which allows for easy and precise application on the skin. The gel-like consistency ensures that the active ingredients are absorbed effectively into the skin for targeted treatment.

Amitriptyline HCL is a tricyclic antidepressant that is used in this formulation for its analgesic properties, particularly in neuropathic pain. Gabapentin is an anticonvulsant that is also used to treat nerve pain. It works by stabilizing electrical activity in the brain and also affects the way the body senses pain. Ketamine HCL is a powerful anesthetic that provides pain relief by blocking certain receptors in the brain. Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that reduces inflammation and pain in the body by reducing the production of certain substances that cause inflammation and pain. Lidocaine and Prilocaine HCL are local anesthetics that work by blocking nerve signals in the body, providing temporary relief of pain or discomfort in the area of application.

This formulation is used to treat various disease states that involve pain and inflammation, such as neuropathic pain, fibromyalgia, post-herpetic neuralgia, and certain types of arthritis. It is also used in the management of chronic pain conditions where oral medications may not be effective or cause undesirable side effects. The combination of these active ingredients provides a multi-modal approach to pain management, targeting different pain pathways simultaneously to provide more effective relief.

It is important to use this medication as directed by your healthcare provider. Apply a thin layer of the gel to the affected area and rub in gently until it is absorbed. Do not apply this medication to broken or irritated skin. Avoid contact with eyes, nose, mouth, and other sensitive areas. Wash your hands thoroughly after applying the medication. If you experience any side effects such as skin irritation, rash, or worsening of your symptoms, discontinue use and contact your healthcare provider immediately.

As compounding pharmacists, we are here to answer any questions you may have about this formulation. Please do not hesitate to reach out to us if you need further information or clarification.

This compounded formulation contains a combination of Amitriptyline HCL, Gabapentin, Ketamine HCL, Ketoprofen, Lidocaine, and Prilocaine HCL. Each of these active ingredients has its own potential for drug interactions, which can be amplified when used in combination. It's crucial for patients and prescribers to be aware of these potential interactions to ensure safe and effective use of this medication.

Amitriptyline HCL, a tricyclic antidepressant, can interact with MAO inhibitors, leading to serious, potentially fatal, interactions. It can also interact with anticholinergic drugs, thyroid medications, and other antidepressants. It's important to avoid alcohol and grapefruit juice while using this medication, as they can increase the risk of side effects.

Gabapentin, an anticonvulsant and nerve pain medication, can interact with antacids, morphine, and hydrocodone. It's recommended to avoid alcohol while using this medication, as it can increase the risk of side effects such as drowsiness and dizziness.

Ketamine HCL, an anesthetic, can interact with CNS depressants, including alcohol, benzodiazepines, and opioids. It can also interact with certain antibiotics and thyroid medications. It's important to avoid alcohol while using this medication, as it can increase the risk of side effects.

Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID), can interact with blood thinners, corticosteroids, and other NSAIDs. It can also interact with certain blood pressure medications and diuretics. It's recommended to avoid alcohol while using this medication, as it can increase the risk of stomach bleeding.

Lidocaine and Prilocaine HCL, local anesthetics, can interact with certain heart medications and other local anesthetics. It's important to avoid applying this medication to broken or inflamed skin, as it can increase the risk of systemic absorption and potential side effects.

This formulation is designed to treat a variety of disease states, including neuropathic pain, post-herpetic neuralgia, fibromyalgia, and certain types of arthritis. The combination of these medications works synergistically to provide pain relief, reduce inflammation, and alleviate nerve-related symptoms. However, it's crucial to use this medication under the supervision of a healthcare provider, as the potential for drug interactions and side effects is significant.

If you have any questions about this formulation or its potential interactions, please don't hesitate to reach out to us. We're here to provide the information and support you need to use this medication safely and effectively.

This transdermal gel formulation combines several active ingredients, each with its own unique mechanism of action, to provide targeted treatment for a variety of disease states. The gel is designed to be applied directly to the skin, where it is absorbed into the body to exert its therapeutic effects.

Amitriptyline HCL is a tricyclic antidepressant that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve pain, and promote sleep. In this formulation, it is used for its analgesic properties to help manage chronic pain conditions.

Gabapentin is an anticonvulsant and nerve pain medication. It works by stabilizing electrical activity in the brain and affecting the way nerves send messages to the brain about pain. It is commonly used to treat nerve pain conditions, such as postherpetic neuralgia and diabetic neuropathy.

Ketamine HCL is a powerful anesthetic that works by blocking the NMDA receptors in the brain, which play a role in pain transmission. It provides rapid pain relief and has been used in the management of chronic pain conditions, including neuropathic pain and fibromyalgia.

Ketoprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by reducing hormones that cause inflammation and pain in the body. It is used to relieve pain, swelling, and joint stiffness caused by arthritis, bursitis, and gout attacks.

Lidocaine and Prilocaine HCL are local anesthetics that work by blocking nerve signals in your body. They are used to numb the skin or surfaces of the body to prevent pain and discomfort during medical procedures or to relieve minor skin irritations, burns, and insect bites.

When combined in this transdermal gel formulation, these active ingredients work synergistically to provide comprehensive pain relief. The gel is easily applied to the skin and absorbed into the body, providing targeted treatment to the area of pain. This allows for a lower dose of each individual medication, reducing the risk of side effects and improving patient compliance.

If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

This specific combination of ingredients is typically used for managing various forms of pain, including neuropathic pain, neuralgia, fibromyalgia, and arthritis, but it might also be used for several off-label purposes. Its components possess multiple mechanisms of action, which allows this formula to define a wide spectrum of medical uses.

Amitriptyline, a tricyclic antidepressant, can be effective in treating certain types of chronic pain, insomnia, and off-label for migraine prevention. Gabapentin is used to treat seizure disorders, nerve damage pain from herpes zoster, and neuropathic pain. Ketamine, an N-methyl D-aspartate (NMDA) receptor antagonist, is known for its use in anesthesia but is being used increasingly in lower doses for the management of chronic pain syndromes. Ketoprofen, a nonsteroidal anti-inflammatory drug (NSAID) offers analgesic and anti-inflammatory properties, hence may be effective in treating conditions involving inflammation and pain like sprains, strains and sports injuries.

Lidocaine and Prilocaine are local anesthetics and may provide temporary relief to minor skin irritations, burns, insect bites, and even hemorrhoids. Their combined action can numb the skin to prepare it for invasive procedures, making this gel formulation potentially useful in a range of medical and cosmetic practices that require topical anesthesia — such as dermal filler injections, tattoo application, laser hair removal, and minor dermatological procedures. The combined power of the active ingredients in relieving pain may also be useful as an adjuvant in managing post-operative pain and other painful conditions like diabetic neuropathy and carpel tunnel syndrome.

However, it is essential to remember that the safety and efficacy of this multidrug formulation for uses other than those specifically approved for are not guaranteed, and thus should be used under careful medical supervision. Patients and prescribers should discuss all the potential benefits and risks associated with the use of this formulation for their specific circumstance.

If there are any questions or need more information about this compounded formulation, feel free to reach out to us. Bayview Pharmacy is experienced in compounding medicines to suit individual needs for the maximum therapeutic benefit.